Table 1.
Categories of Interventions for AIMSS
| Major category or subcategory | Definition |
|---|---|
| Pharmacological interventions | |
| Endocrine or hormonal | Medication interventions acting on an endocrine system and/or by suppressing, enhancing, or otherwise altering the release or activity (or supplementing) hormones. This category includes bisphosphonates in addition to more traditionally defined endocrine interventions. |
| Analgesic or anti-inflammatory | Medication interventions acting directly on pain perception at the level of nociception including anti-inflammatory interventions as well as opioid and non-opioid analgesics. The latter includes NSAIDs, COX-2 inhibitors, and corticosteroids. |
| Neuromodulatory | The interventions for this review are centrally- and peripherally acting medications, not classified as direct analgesics or anti-inflammatory agents, that alter nerve impulse transmission. These include CNS-active medications (antidepressants, anticonvulsants, gabapentinoids, cannabinoids, etc) and peripherally applied pharmaceutics (capsaicin, botulinum toxin, topical preparations, etc). |
| Therapeutic switching to alternative AI | Switching from one AI to a different AI, with or without an interim washout period. |
| Combination | Two or more interventions from the pharmacological intervention sub-categories above (including within the same sub-category) administered simultaneously. |
| Other pharmacological | Medication interventions not included among the above sub-categories. |
| Complementary/alternative interventions | |
| Nutritional or dietary supplements | This sub-category includes herbs/botanicals, vitamins and minerals, probiotics, and dietary supplements. |
| Traditional medicine | This sub-category includes traditional Chinese medicine, homeopathy, naturopathy, Ayurvedic medicine, and the use of traditional healers. |
| Physiological or psychophysiological | This sub-category includes tai chi, yoga, acupuncture, massage therapy, musculoskeletal manipulation, qigong, relaxation techniques, and hypnotherapy. |
| Combination | Two or more interventions from the complementary/alternative intervention sub-categories above (including within the same sub-category) administered simultaneously. |
| Other complementary/alternative | Complementary/alternative interventions not included among the above sub-categories |
| Rehabilitative interventions | |
| Supervised sport or exercise | Supervised sports activities or exercise in any form, excluding interventions classified as complementary/alternative. |
| Physio-/occupational/recreational therapy | Formal physical therapy, occupational therapy, or recreational therapy intervention(s). |
| Psychosocial/educational | Psychological or educational interventions, excluding interventions classified as complementary/alternative. |
| Combination | Two or more interventions from the rehabilitative intervention sub-categories above (including within the same sub-category) administered simultaneously. |
Abbreviations: AI, aromatase inhibitor; COX-2, cyclooxygenase-2; NSAID, non-steroidal anti-inflammatory medication.